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Organization
KEMMERER VILLAGE INC.
Active
Organization
KEMMERER VILLAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LITTLE (EXECUTIVE DIRECTOR)
(217) 226-2116
Entity
Organization
Contact information
Practice address
941 N. 2500 EAST. RD., ASSUMPTION, IL 62510
(217) 226-4451
(217) 226-3511
Mailing address
941 N. 2500 EAST. RD., ASSUMPTION, IL 62510
(217) 226-4451
(217) 226-3511
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0011289-10
IL
Other
Enumeration date
03/10/2006
Last updated
09/20/2018
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